Khanin, Yuriy
Khanin, Yuriy is an sole proprietor health care provider with primary practice located at 10753 Guy R Brewer Blvd , Jamaica NY 11433-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khanin, Yuriy can be contacted via phone (718) 523-5776.Contact Information
Primary practice address
10753 Guy R Brewer Blvd
Jamaica NY 11433-2351
Phone: (718) 523-5776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 230941 | New York |
Profile Details
| NPI number | 1205993334 |
|---|---|
| LBN Legal business name | Khanin, Yuriy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Sep 13th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205993334 | NPPES |
| New York | MEDICAID | 02554736 |
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